Active NPI
The in-Home Parent Coach, LLC
- Clinical Social Worker
- Rochelle Park, NJ
National Provider Identifier
1801362702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE IN-HOME PARENT COACH, LLC
- Practice address
- 151 W Passaic St FL 2
Rochelle Park, NJ 07662-3105 - Phone
- (201) 315-4151
- Fax
- (201) 300-6109
- NPI assigned
- Oct 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Johnson, LCSW
- Title
- Single Managing Member
- Phone
- (201) 315-4151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
151 W Passaic St FL 2
Rochelle Park, NJ 07662-3105
Mailing address
151 W Passaic St FL 2
Rochelle Park, NJ 07662-3105
Phone (201) 315-4151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1357674930 | Medicaid | NJ | |
| 1861867004 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- The in-Home Parent Coach LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Elmwood Park, NJ
- NPI 1861867004
-
- In Home Supportive Care Agency
- Union City, NJ
- NPI 1356764930
Locations
151 W Passaic St
#2
Rochelle Park, NJ 07662
Phone (201) 251-6565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1801362702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W PASSAIC ST FL 2",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623105",
"telephone_number": "201-315-4151",
"fax_number": "201-300-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W PASSAIC ST FL 2",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623105",
"telephone_number": "201-315-4151",
"fax_number": "201-300-6109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE IN-HOME PARENT COACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "SINGLE MANAGING MEMBER",
"authorized_official_telephone_number": "201-315-4151",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1357674930",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861867004",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.